Individual
MRS. LORRAINE MARY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
3349 HIGHWAY 138, BUILDING B, SUITE A, WALL TOWNSHIP, NJ 07719-9671
(732) 280-6050
Mailing address
2430 EMERSON AVE, SPRING LAKE, NJ 07762-2408
(732) 974-1988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00229000
NJ
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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